Accounts Receivable Representative- Workers Compensation - Health Plus Management, LLC : Job Details

Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ, CT, and Upstate NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.

This position is primarily responsible for overseeing the Accounts Receivable and Collections functions for our family of companies.

Duties & Responsibilities

Maintain insurance account receivable management for multiple groups, specialties and payors

Follow up with insurance companies on unpaid or denied claims

Resolve claim errors and re-submit claims as appropriate for reimbursement

Prepare appeal letters to insurance carriers when not in agreement with claim denial

Identify and report payer issues relating to denial trends or change in payments

Recommend account adjustments as appropriate

Maintain appropriate documentation and notes of all collection activity

Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliancy

Supports/assists team with additional assigned tasks as needed.

Education & Training

High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties

Knowledge & Experience

2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties

Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations

Must be proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required

Schedule: FT, Monday-Friday

Pay: $20.00 to $24.00 per hour

Full-Time/Part-Time

Full-Time

Exempt/Non-Exempt

Non-Exempt

Position Requirements

Education and Training

High School Diploma or equivalent required, 2+ years of experience with NYS Workers' Compensation AR and Denial Management

Benefits

Medical, Dental, Vision, and Disability Insurance, 401k, Paid Time Off, Holidays

EOE Statement

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.